Individual
JOHN S WISDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR SW, HUNTSVILLE, AL 35801-6455
(256) 880-4177
(256) 880-4507
Mailing address
8678 EDGEHILL DR SE, HUNTSVILLE, AL 35802-3786
(256) 880-4177
(256) 880-4507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00011713
AL
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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